Speaker Evaluation

Speaker Evaluation

Members of the Speakers Bureau should fill out this evaluation after each HK funded event.
Name*

First NameLast Name
Presentation Title
Host Organization and City*

OrganizationCity
Event Date*

MonthDayYear
Date
The presentation took place*

In PersonOnline
Estimated Audience Count*
How would you describe the audience participation?*

Lively and engaging discussion took place; good give and takeSome good questions were asked and a few comments offeredVery limited interaction; audience seemed hesitant to speak upComments:
How would you rate the arrangements made by the host organization and the facilities?*

ExcellentGoodFairPoorComments:
Reflections or stories from the experience:
Please share an anecdote or two from this experience. Answers may potentially be use on our website and promotional materials.
Did you take any photos while you were at the event or on the road? Upload them here!

Photos may potentially be used on our website and promotional materials.
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Please choose one:*

Please reimburse me for the total amount.I'd like to include a donation to Humanities Kansas.
I would like to donate $ Amount of this stipend back to Humanities Kansas.
Humanities Kansas, Inc. is a 501(c)(3), and your contribution is tax deductible to the extent of the law. HK’s Federal Tax ID number is 48-0800085.

I hereby donate the amount indicated above to be used by Humanities Kansas in support of the organization.
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